In their work, dentists try to take basic methods that contribute to the preservation of the tooth extraction of their patients. Therefore, removal is performed only in particularly difficult situations. However, it is not always possible to do without it. In this regard, it is necessary to understand in which cases a tooth Extraction, and when an operation cannot be avoided.
Existing indications for surgery
With a radical method of solving dental problems, the tissues of the oral cavity are inevitably injured. Due to damage to the nerves and blood vessels, the patient experiences moderate pain, the injured area turns red and swells.
To minimize the consequences of removal and exclude possible complications, the patient needs to have a strong immune system. For physically weakened people and those in whose bodies pathological processes are found, the procedure is contraindicated.
That is why in several situations the operation is excluded under a certain set of circumstances.
All indications should be divided into two subgroups:
- Events in which surgical intervention must be performed urgently;
- When the extraction can be scheduled for a certain time, eliminating the rush.
Finding out “when and why it is necessary to tooth extraction and in what cases it should not be done”, it is important to know that urgent removal is carried out in the presence of an inflammatory process. When inflammation has already led to the appearance of a neoplasm. Such complications can be granuloma, cyst, phlegmon, abscess, etc. In addition, an emergency operation is performed when the dental tissue is injured or the crown is fractured, resulting in the development of neuritis and other injuries.
Pulpitis or periodontitis are not yet indications for mandatory pulling out. Sometimes, with these pathologies, the element of the series can be saved. This largely depends on the size of the affected area and the individual characteristics of the patient. However, when there is a risk of infection spreading, drastic action is inevitable.
Only timely elimination of the source of infectious agents can protect a person from serious consequences in the form of many dangerous diseases.
In this case, it is necessary to tooth extraction in a planned mode
If there is no obvious danger to the body, but damage to dental tissues is 70% or more, pathologies in the root zone and pulp are identified, and surgery is planned for a certain time. Usually, the removal procedure is prescribed for advanced periodontitis or mobility of the elements of a series of 3-4 degrees. Sometimes pulling is resorted to before installing braces. Removing one or more units allows you to free up space for subsequent movement when leveling.
Third molars are found in many and are rudiments with no functional significance. Often their growth occurs in the wrong direction, they do not fully erupt and contribute to the curvature of neighboring elements. This should be kept in mind when asking the question: “is it necessary to remove a wisdom tooth.” The consequences of the formation of molars are naturally inflammatory processes and the appearance of caries. Due to possible serious complications, figure eight is most often pulled out at the first alarming manifestations.
Planned indications also include cases when a patient has extra elements or unformed parts in the oral cavity.
Whether to carry out surgery or not – the dentist must decide. Only he can correctly assess the condition of the patient and his mouth. Dentiki specialists consider the clinical picture as a whole, take into account the likely consequences and make a decision. If it is impossible to avoid the operation, they plan to carry out the removal procedure.
Which teeth are not subject to treatment – when it is impossible to remove according to contraindications
A radical method of eliminating pathology may be unacceptable for systemic diseases and a weakened human immune system. These circumstances do not guarantee proper resistance to pathogens and full recovery of the body. The rehabilitation process in this situation can be significantly delayed, which is why the development of numerous complications is not excluded.
Situations in which surgical intervention is highly undesirable include:
- 1-3 trimesters of gestation;
- Menstrual period, as well as 2 days before and after;
- Exacerbation of herpes;
- The acute form of diseases of the heart and blood vessels (stroke, heart attack, crisis);
- Head injury.
Knowing which teeth are pulled out and when it is necessary to remove elements of the dentition, it is important to remember that sometimes extraction cannot be dispensed with even if there are obvious contraindications. Urgent removal can be carried out in a hospital when the patient is under constant medical supervision. Indications for compliance with stationary conditions during the operation are:
- Poor blood clotting;
- Severe diabetes mellitus;
- Dysfunction of the central nervous system;
- Mental disorders.
It should not be overlooked that in some cases special preparation may be required before surgery. If the patient has pathologies of the heart and blood vessels, the use of adrenaline formulations as anesthesia is undesirable. And hemophilia is a reason for the preliminary transfusion of plasma.
Some dental problems should also be attributed to contraindications for pulling out an element of dentition. Among them: are herpetic stomatitis, gingivitis, candidiasis, and malignant formations in the oral cavity. In the presence of a cancerous tumor, it is also eliminated at the same time.
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So, to extract a tooth or not? It is important to remember that the above prohibitions on the operation are temporary. When the patient’s condition stabilizes, these restrictions will no longer apply to him.
Conventional removal refers to a procedure that takes a short time (most often a few minutes). Its implementation is relevant when eliminating elements with one root. When it comes to pulling out multi-rooted units, the process is classified as complex. Such cases include working with a figure eight or a badly damaged tooth.
As noted above, the operation will not require an impressive time investment. Dentists “Dentiki” act in stages:
- First of all, the doctor examines the patient, he is interested in the presence of allergic reactions to drugs, and acute and chronic diseases. The specialist also clarifies whether the patient is taking medications during this period.
- Next, the doctor directs the client for an x-ray. Depending on the situation, you may need a targeted or panoramic shot.
- The active work of the dentist begins with anesthesia. After all, painless tearing is impossible without the use of anesthesia.
- Now the dentist proceeds to loosen the problem tooth. Carefully pushes the gum with a special tool, grab the crown with forceps, or pry it and gently swing it. These actions allow you to expand the hole and break the periodontal ligaments.
- At the most crucial stage, the doctor removes the element of dentition along with the root from the alveoli.
- At the end of the procedure, he will have to stop the bleeding. The injury site is closed with a cotton swab moistened with an antibacterial composition. After 20-30 minutes it can be removed. This time is usually enough to stop bleeding and form a blood clot.
When deciding which teeth can or cannot be removed (pulled out), you should know if a pathological formation is observed at the root tip, immediately after surgery, you need to take another x-ray. In cases where the X-ray examination confirms that part of the cyst or granuloma is still inside, it will be scheduled to be removed.
Also, non-traumatic methods are practiced in Dentik using an ultrasonic scaler.
The category of such operations includes the removal of eight, elements with curved roots, a destroyed crown, or samples (incisors, canines, and molars) previously treated with resorcinol-formalin. This method of treatment leads to the staining of individual units in a pinkish color and the fragility of their walls.
The duration of the process can be 1 hour or more. Often, the root and coronal zones are sawn to pull them out of the bone tissue. With retention, the gums are exfoliated first. Destroyed or broken fragments are initially “turned out” with a special elevator, since it is impossible to get them with ordinary forceps without preparation, and excessively harsh actions can lead to additional damage to the oral cavity. At the end of the operation, suturing is mandatory.
When a purulent process is detected, the neoplasm is opened and the outflow of the accumulation of pus is organized. Next, the removal is carried out and the drainage system is fixed to prevent suppuration.
Tearing out milk elements
The first incisors and canines fall out on their own with age. This happens during a period of change in the temporary bite. However, there are frequent cases when it is necessary to resort to extraction before the onset of natural fallout. The need for it is determined by a specialist dentist. It remains for parents to listen to his recommendations and not postpone the solution of the problem until “later”.
It is a big mistake to assume that various pathologies of milk samples are insignificant and that it is not necessary to take action to eliminate them. Yes, the teeth will certainly fall out themselves over time, however, pathological deviations may well be transferred to the emerging permanent elements. As a result, they will erupt already sick.
Premature tearing is resorted to when inflammation occurs, which is provoked by an advanced form of caries, pulpitis, or periodontitis. In all these cases, it is no longer possible to restore the crown. If more than 1 year is left before the bite change, the installation of prostheses is necessary. Otherwise, the distortion of the series is inevitable, which is fraught with consequences.
The most difficult thing in working with children is coping with fragile dental walls. The child should not be in pain during the procedure. It is very easy to crumble a thin coronal surface with large forceps, so a special reduced and lightweight version is used instead.
Extraction of problem eight
Most often, molars initially have an incorrect position or are bent even in the process of formation. When asking a specialist “is it worth tooth extraction”, keep in mind that such elements must be eliminated. Without timely surgical intervention, they can interfere with the normal functioning of neighboring units, destroy their root system, and lead to the curvature of the entire dentition and the development of harmful bacteria in the oral cavity.
Removal is a complex process. First of all, the doctor cuts the gum and pushes it back. Then he carefully loosens and “turns out” the figure-eight with the help of an elevator. Often, initially, he has to see the crown with a drill, which involves further extraction in parts. Only after all the necessary actions have been completed, the dentist proceeds to suture.
Any operation is associated with some unpleasant moments for the patient that arise after it is performed. Moderate pain syndrome, swelling, active salivation, blood, difficulty opening the mouth, and poor general condition are the norm. All these “side effects” completely disappear after a certain time. As a rule, with a simple procedure, negative manifestations are neutralized already for 2-3 days. In difficult situations, rehabilitation may take 1 week or even more.
When determining why it is necessary to extract a tooth and who should do it, it should be remembered that one of the most difficult complications of extraction is alveolitis. This pathology is an inflammatory process in the hole left after the removal of a fragment of the dentition. With progressive inflammation in a person, the temperature jumps, the smell of rot from the oral cavity appears, and the wound itself is covered with a gray coating. The development of pathology is accompanied by increasing pain syndrome. Often, a sharp pain gives in the eye, temple, or ear. This problem needs an urgent solution. Otherwise, further infection of the whole organism is inevitable.
The gums can also become inflamed. This happens mainly due to excessive tissue injury. The inflammatory process is accompanied by active suppuration. If you ignore the situation, the occurrence of periostitis is not excluded.
Equally important in the postoperative period is the presence of a blood clot that closes the wound. If not, the hole dries up. This is accompanied by bad breath and severe redness of the injured area. Sometimes, with a complex course of the procedure, the nerve endings are irritated. The patient may become numb tongue, lips, cheeks, and even chin.
Most often, these negative sensations disappear after 5-10 minutes.
How is the healing
Tissues usually heal within 2-3 weeks. During this period, a person often experiences itching, which indicates the proper course of the process. During rehabilitation, it is enough to follow the recommendations of the attending physician to avoid negative consequences.
In the absence of complications, healing takes place quickly and does not cause any particular inconvenience to the patient. But if severe pain and other unnatural manifestations occur during the recovery period, you should contact a specialist as soon as possible. Painful sensations can signal inflammation and the appearance of dangerous pathologies.
To exclude violations in tissue restoration after surgery, follow several tips from dentists:
- Refuse to eat for 2-3 hours after the procedure;
- Do not touch the injured area with your tongue, fingers, and foreign objects;
- Do not chew on the side where the removal took place;
- On the first day, refrain from cleaning the oral cavity;
- Do not drink drinks through a straw (so as not to create a vacuum);
- Do not go to the bathhouse, or solarium do not take a hot shower;
- Exclude from the diet a while sour, salty, and sweet;
- Try not to over-cool;
Check with your doctor in advance about which painkillers you can take after surgery.
Having learned in which cases a tooth extraction, how to understand what cannot be or, on the contrary, it must be removed without delay, whether it can be prevented – it is worth finding out the prices for services. So, the procedure in “Dentik” on average will cost the client 3978 rubles. A lot depends on individual aspects: the patient’s condition, the degree of neglect of the case, and the tolerance of drugs. And, of course, if at the time of treatment, concomitant pathological abnormalities are found that require preliminary elimination, surgical intervention will be more expensive.